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Medical Records

Medical Records

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Medical Record Signature Requirements Every Practice Must Follow

Before you can authenticate a single medical record, you need to know exactly what a valid signature looks like under CMS rules. Miss one element, and the claim is at risk. As AAPC emphasizes, “Regardless of how accurate the coding is, if the document lacks a legible signature, the entire note will be disregarded.” That’s […]
Children’s medical records

Top 10 Medical Records Strategies to Avoid Denials, Fines, and Legal Trouble

Your medical records are more than just files—they are your legal protection, your revenue support, and your compliance foundation. Every note, signature, and retention decision plays a role in whether your practice gets paid, passes audits, or faces penalties. If you’re not confident your team understands retention rules, destruction requirements, and compliance risks, this quick […]
RELEASE-OF-MEDICAL-RECORDS-SUBPOENA

How You Should Respond to Subpoenas for Medical Records

If you work in a medical practice, you will eventually get a subpoena or other legal request for medical records. Handling these improperly can put you at risk of HIPAA violations, state privacy law violations, costly fines, and loss of patient trust. That’s why understanding how to respond correctly to subpoenas for medical records is […]

Are Revenue Cycle Bottlenecks Costing Your Practice Thousands?

Dr. Lopez’s busy orthopedic practice submits hundreds of claims every week. But with denials creeping up, the billing team is constantly resubmitting claims. One front-desk employee, unfamiliar with payer rules, keeps entering incomplete patient insurance data—forcing staff to chase patients for missing information. Meanwhile, credentialing delays keep a new physician from being properly enrolled with […]
Destruction of medical records

Destruction of Medical Records: 5 Options to Stay Compliant

Destruction of medical records seems simple: You simply delete a file from your electronic health record and call it a day, right? Not so fast. Destroying medical records requires quite a bit more than that if you want to stay compliant with federal and state laws. You’ll need to retain medical records for the minimum […]
Destruction of medical records

5 Surprising Facts About Destruction of Medical Records

To ensure your practice is following the HIPAA laws, you must protect patients’ PHI by ensuring that the destruction of medical records occurs in a compliant way. And while the government doesn’t come out and dictate one particular best practice on how you must destroy these records, it does require you to create a policy […]
Medical record amendments

3 Types of Medical Record Amendments (and How to Do Them)

Medical providers are human, and sometimes that means they make mistakes, forget to document medical records, or do so well after the fact. And while you want to make a medical record as thorough as possible on the date of service, it’s important to know which types of medical record amendments are allowable and how […]
Medical records

7 Do’s and 5 Don’ts to Keep Medical Records Legally Compliant

A lot goes into maintaining accurate and compliant medical records, from storing them for a certain period of time to ensuring that you’ve documented medical necessity in every file. And one factor that should never be left behind is ensuring that your medical records are legally compliant. Check out seven Do’s and five Don’ts to […]
Medical records request

How Many Records Can Auditors Request? You May Be Surprised

It happens almost every day: Practices already stretched thin with their existing responsibilities are asked to send hundreds of medical records to auditors for “review.” The additional work and stress from the medical records request pushes practices to their limits and seems excessive to most practice managers. What recourse do you have for these voluminous […]
Subpoena for medical records

4 Questions to Ask if You Get a Subpoena for Medical Records

If your practice receives a subpoena for medical records, it’s important to stay calm. Although you have to toe the line between complying with the subpoena and protecting patient privacy, there are important questions you must answer before sending the records. Check out the four questions you should always ask when you get a subpoena […]